Renata Charissa Moore
Controlled Substance Registration - Physician
Indiana 01050829B Expired
This Indiana license was held by Renata Charissa Moore. The license is no longer active. It was granted on 11/15/1999 and expired on 06/30/2001
LICENSE DETAILS
- License Number: 01050829B
- Category: CSR-Physician
- Status: Expired
- Date Granted: 11/15/1999 (over 25 years ago)
- Expiry Date: 06/30/2001 (almost 24 years ago)
LOCATIONS
A Address
5500 HOHMAN AVENUE STE 3A, HAMMOND IN 46320